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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION 1)--(1 Commercial/Multi-Family n Manufactured Home (Single or Multi -Level) ,=Demolition Residential (SF, Duplex or Townhome) LJ Reroof n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Email Address: Gj IehuJoorI Tex_ ivt t t7 S -10o0 G.)c ?,'Je(5 P(a•Tci Phone: (9 70 ) `r,'� " i Lze Gt& cO 0 Aflq,,4-cte 71 Contractor: f` til (c" s f t..c4 adv. Phone: (q 70 ) 319 - l®b I Mailing Address: Co 2 5 r Fit CT LA) S Email Address: +o m Ct.0 CO 11 S.11 uLC t iv a (0YVN r t7 S"i b o I Architect: I f 1 Vt 14.11,1 Cu4lL -.1 0 0 4+1(5 Phone: (303 ) 413 LI Lt 1J3 Mailing Address: 12- W ilkoi.0 Rik , Su,tL700.4 tJ 07 I6 Email Address: t^^ E -4Q e A- r I (A m fa k e.\ iv • [_ c) 0. - Engineer: ifGAM uic;,y C Ke aPhone: (0! -7 ) CHC -C1 3E,' Mailing Address: Pe lip € 3q £1UJ S co Fs16 0 t Email Address: f't CCC tmKwey • Manufactured Home Installer: /A Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS _ Describe Work: Cao 1-c "` AC Cl r p q ci . v o 1ck. (?ti) -- No Orr Los Job Address: --Top e C I ra v-. S foracle of 'woo Assessor's Parcel Number: Z 1 4 s— 0940 000 S Sub. hr'h Set 1411 Aascir(r(N,.. CO- A) Lot Block Owner's Valuation of Work: $ } 0 0 O Sq. Ft. of Building 2. 19 3'{ s4 Height: LK L0 # of Floors: 3 Property Size (Sq. Ft. or Acres): • 5-11 Ac ft - Class of Work: Garage: New Remodel/Alteration Addition Attached Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: OW TS .i' Natural Gas ❑ Propane Community Electric F1 Other Driveway Exempt ❑ Permit #: Permit: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. In consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest ith a and my authorized agents, including without limitation my architect designer - i _ ineer and/ or . alder - wledge t a • hay r -d and understand the Notice and Certification above, as well as, have is rrect and accurate to the best of my knowledge. I here provide _ cum cks I==� e w l r1 �e , 2S 20 19 Date OFFICIALUSE ON)f Special Conditions: .� r f - Adjusted Valuation: .73.9.6-19-r)0 Plan Check Fr e: /68 3:341 Permit Fee: 7581-7c Manu. Home Fee: Misc. Fees: 4, 5",t, 52 Tot,a1 Fees: 4 27.07 Fees Paid: t 100.°1 (g Balance Due: ?Oioi 1 BP No: gt.co-511 OWTS No: VVf CL Setbacks: OC Group: , Const ype: h /' _ AZoning: / PLANNING ---LBUILDING DIVISION : -'-k-- 9 ' JS " 6 Signe proval Date / i (Ig(O.°g) v 3O'l 3, Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: kco ® _ SI /! Building Issues 'WT> Engineered Foundation /114. Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% - Attach Residential Plan Review List 01 if Subdivision Plat Notes Planning/Zoning Issues Fire Department Review yr Valuation Determination/ Fees —' Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed L � Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes �/ Soils Report Property Line Setbacks 51,. ( • 30 ft. Stream Setbacks c1( Flood Plain 12lig)ItiLlluilding Height Zoning Sign -Off 2133 3•F Road Impact Fees enir-- Grade/ Topography 40% N I'!4 Planning Issues Subdivision Plat : 'ti`.', jD') - S)7 `PYt -kt 4444_1411 -- Description & Summary; 733 noro72,'1\3 23 3 5(0 / z